Examining the cost-effectiveness, acceptability, and efficacy of telehealth physiotherapy on mobility in older people receiving aged care services

Not Applicable

Recruiting

• Conditions: Mobility; Falls; Physical Medicine / Rehabilitation - Physiotherapy; Injuries and Accidents - Other injuries and accidents

• Registration Number: ACTRN12621000734864
• Lead Sponsor: Concord Repatriation General Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-06-10
• Last Update Posted: 23 May 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 240

Inclusion Criteria

Eligible participants will:
a) Age: 65 + years
b) Living in the community or in residential aged care facilities receiving Commonwealth funded aged care services
c) Able to walk 10 m +/- walking aid
d) Have internet connectivity to access mobile device/tablet
e) Life expectancy > 6 months and sufficient sensory, neurological , cognitive, and English language skills for exercise and video-based interventions
f) Participants will need to be assessed by their aged care provider as having normal or mild cognitive impairment by one of the following cognitive assessments: attain a score of 18 or more on the Mini State Mental Examination (MMSE), or 20 or more on the Rowland Universal Dementia Assessment Scale (RUDAS), or 10 or less on the Psychogeriatric Assessment Scales Cognitive Impairment Scale (PAS-Cog) or 4 or more on the Memory Impairment Scale (MIS)
g) Obtain participant consent or from their person responsible if the participant has mild cognitive impairment

Exclusion Criteria

The trial will exclude adults who:
a) are expected to live for less than 6 months
b) Having participated in a similar physiotherapy program in the last 12 months
c) Having physical, sensory, mental health or behavioural issues that would prevent participation in the intervention as identified by our aged care partners
d) People who are unable to cooperate with an intervention program. Cognitive impairment per se is not an exclusion criterion but older people with moderately severe dementia assessed by a score of 17 or less on the MMSE, a score of 19 or less on the RUDAS, a score more than 10 on the PAS-Cog, or a score of 20 or less on the Modified Telephone Interview Cognitive Status may not be able to participate.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary effectiveness outcome is mobility assessed with the Short Performance Physical Battery (SPPB).[6-month period after randomisation]

Secondary Outcome Measures

Name	Time	Method
umber of falls in the 6 months after randomisation, assessed using monthly falls calendars[6-month period after randomisation];5 times sit to stand as a measure of lower limb strength and balance.[Baseline and 6-month period after randomisation];Quality of Life will be measured by the The EQ-5D-5L at baseline and 6 months. It comprises of 5 items and participants will be able to rate their level of impairment across dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and global health rating on a visual analogue scale (EQ-VAS). The EQ-5D-5L was found to be a highly reliable and valid measure of the quality of life in older people with mild to moderate dementia.[Baseline and 6-month period after randomisation];Goal attainment measured with the Goal Attainment Scale[Baseline and 6-month period after randomisation];Acceptability of the intervention in the intervention group only as assessed by a study-specific survey.[6-months post randomisation ]